EP0672388B1 - Einrichtung zur Korrektur einer verletzte Wirbel aufweisenden Wirbelsäule - Google Patents
Einrichtung zur Korrektur einer verletzte Wirbel aufweisenden Wirbelsäule Download PDFInfo
- Publication number
- EP0672388B1 EP0672388B1 EP95100878A EP95100878A EP0672388B1 EP 0672388 B1 EP0672388 B1 EP 0672388B1 EP 95100878 A EP95100878 A EP 95100878A EP 95100878 A EP95100878 A EP 95100878A EP 0672388 B1 EP0672388 B1 EP 0672388B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- grooves
- locking element
- bar
- receiving slot
- head
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
Definitions
- the present invention relates to an apparatus for correcting a spinal column having damaged vertebrae according to the preamble of claim 1.
- WO 91/01691 discloses an apparatus for lacing vertebrae of a spinal column in which pedicle screws having slotted heads are used into which a bar is inserted.
- the legs of the slotted screw heads comprise an outer threaded portion, onto which a nut is screwed which abuts against the bar to fix it in position.
- EP 0 443 892 discloses a similar apparatus in which the slotted head of the pedicle screw includes an internal threaded portion receiving a solid screw which is brought into engagement with a fluted or, respectively, roughened bar to again fix the relative position of the bar and the individual pedicle screws.
- a ring surrounding the head of the pedicle screw prevents the legs of the screw head from spacing apart when the bar is fixed, otherwise the threaded engagement between the fixing screw and the pedicle screw head would be lost.
- a similar apparatus is shown in WO 90/09156.
- G 92 02 745 discloses an apparatus of the type referred to in which the pedicle screw is formed as a bipartite member, wherein the screw shaft includes a spherical end which is received in a ball-shaped recess which forms a receiving slot for the distracting or compressing bar.
- a fixing screw is screwed into an internal thread portion of the ball-shaped recess to urge the distracting bar onto the all.
- G 93 02 700 further teaches to provide a similar ball-shaped recess with an internal threaded portion onto which a head nut is screwed which includes a central pin which can be brought into engagement with the distracting or compressing bar for fixing.
- the support between the ball-shaped recess and the hook or the pedicle screw which is pivotal before the final fixing is completed results in the advantage that the fastener at one hand and the ball-shaped recess at the other hand may be angularly oriented with respect to each other. Accordingly, the bar has to be bent to a less extent which is true for a sagittal and lateral orientation.
- US-A-4 887 596 discloses a pedicle screw for use an internal fixation of the spine comprising a threaded shaft and a yoke for receiving a rod.
- the receiving slot has grooves triangular in cross section, and a plate-like locking element has two dove-tail portions to co-operate with the grooves so that the locking element is guided by the grooves if slided laterally into the receiving slot.
- the locking plate accommodates two threaded fasteners which are in engagement with a rod within the receiving slot. By the two fasteners the rod can be tilted.
- the distracting or compressing bar is initially fixed and a distraction or compression may be performed in a manner known per se. Subsequently, the primary locking element is completely locked to produce a rigid connection between the locking element and the bar.
- the known devices require primary locking elements which must be screwed onto the locking element for a sufficient length in order to obtain a rigid initial fixing of the bar. The range of laterally moving the bar is thus not particularly large.
- the plate-like locking element is formed to be inserted into opposite grooves triangular in cross section which are provided in the opposing walls of the receiving slot.
- the grooves are closed at one end to prevent the locking element from falling out.
- the grooves may be wedge-shaped either alternatively or in addition to coact with the plate-shaped locking element in a clamping relation. Inserting the plate-shaped locking element is relatively simple which facilitates using the apparatus according to the invention for the surgeon.
- the threaded portion accommodated by the locking element is to rigidly secure the bar within the receiving slot. Prior to such fixation the bar is prevented from being moved out of the receiving slot, however, may move axially in the receiving slot.
- the pedicle screw 10 comprises a screw shaft 12 and a head 14 which outer periphery is substantially cylindrical and includes a central receiving slot 16 which is open towards the top end.
- the bottom of the slot has a spherical cross section to closely fit a distracting or compressing bar 18.
- the side walls of the slot 16 are formed with grooves 20, 22 having a triangular cross section.
- Fig. 1 shows that the upper side of the triangle is perpendicularly oriented with respect to the longitudinal axis of the slot.
- Fig. 2 shows that the grooves 20, 22 are closed at one end and include a slope.
- Figs. 4 and 5 show a combination 24 of a threaded portion 26 and a locking element 28.
- the locking element 28 includes a pair of faces 30, 32 being triangular in cross section which are shaped to fit into the grooves 20, 22. However, there may be provided a slight clamping action in order to fix the element 28 within the grooves 20, 22.
- the element 28 has a central threaded bore for receiving the threaded portion 26 which is defined by a fixing screw having a tip 34 at the end of the shaft and an opposite head which is provided with an external as well as an internal hexagonal configuration 38.
- the element 28 is inserted into the grooves 20, 22 from one side thereof.
- a plate may be conceived which is placed from above into the slot 16, wherein its length side is oriented toward the length side of the slot 16. Subsequently, the plate is turned about some 90° so that the sides thereof enter the grooves 20, 22.
- lamina hooks for example may be provided as anchoring means instead of the pedicle screws, which hooks are then provided with a head similar to that of the pedicle screws shown.
- shanks of the pedicles screws may be separate with respect to the heads which can be shaped to define ball-shaped recesses for receiving balls formed at the upper end of the screw sharks.This similarly applies for lamina hooks having a ball.
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Surgical Instruments (AREA)
- Outer Garments And Coats (AREA)
- Prostheses (AREA)
- Endoscopes (AREA)
Claims (3)
- Vorrichtung zum Einrichten einer Wirbelsäule mit geschädigten Wirbeln mit an angrenzenden Wirbeln anzubringenden Verankerungselementen (10), wobei jedes der Verankerungselemente (10) einen Schaftabschnitt (12), vorzugsweise eine Pedikelschraube und an einem Ende des Schaftabschnitts (12) einen Kopf (14) aufweist, der einen an einem Ende des Kopfes (14) gegenüber dem Schaft (12) offenen Aufnahmeschlitz (16) aufweist und zur Aufnahme eines Distraktions- oder Kompressionsstabes (18) angepaßt ist, wobei der Aufnahmeschlitz (16) einen Grund und gegenüberliegende innere Wandungen, Nuten (20, 22), die mit einem dreieckigen Querschnitt in dem Aufnahmeschlitz (16) oberhalb von dessen Grund geformt sind, einem plättchenartigen Sicherungselement (24), das zur Aufnahme durch die Nuten (20, 22) angepaßt ist, wobei das Sicherungselement (24) eine Gewindebohrung einschließt zur Aufnahme eines Gewindeabschnitts (26), der zum Festlegen des in dem Aufnahmeschlitz (16) angeordneten Stabes (18) angepaßt ist, dadurch gekennzeichnet, daß die dreieckigen Nuten (20, 22) geformt sind und gegenüberliegend in gegenüberliegenden Wandungen des Aufnahmeschlitzes (16) angeordnet sind, um das Sicherungselement (24) gegen Bewegung hin zu dem Schaftabschnitt (12) zu halten, dadurch, daß die Nuten (20, 22) an einem ihrer Enden geschlossen sind und daß die Nuten (20, 22) geneigt in bezug auf die Achse des Stabes (18) innerhalb des Aufnahmeschlitzes (16) sind.
- Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß das Sicherungselement (24) klemmend von den Nuten (20, 22) aufgenommen ist.
- Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß die dem Grund zugewandte Nutenwandung im rechten Winkel zur Längsachse des Aufnahmeschlitzes (16) verläuft.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE9402839U | 1994-02-22 | ||
DE9402839U DE9402839U1 (de) | 1994-02-22 | 1994-02-22 | Vorrichtung zum Einrichten einer Wirbelsäule mit geschädigten Wirbeln |
Publications (2)
Publication Number | Publication Date |
---|---|
EP0672388A1 EP0672388A1 (de) | 1995-09-20 |
EP0672388B1 true EP0672388B1 (de) | 1999-12-22 |
Family
ID=6904883
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP95100878A Expired - Lifetime EP0672388B1 (de) | 1994-02-22 | 1995-01-24 | Einrichtung zur Korrektur einer verletzte Wirbel aufweisenden Wirbelsäule |
Country Status (4)
Country | Link |
---|---|
US (1) | US5683390A (de) |
EP (1) | EP0672388B1 (de) |
AT (1) | ATE187879T1 (de) |
DE (2) | DE9402839U1 (de) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8636783B2 (en) | 2006-12-29 | 2014-01-28 | Zimmer Spine, Inc. | Spinal stabilization systems and methods |
Families Citing this family (155)
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JP2001511388A (ja) * | 1997-07-31 | 2001-08-14 | プルス エンドプロシェティク アーゲー | 脊柱などを補強及び/又は補正するための装置 |
FR2778089B1 (fr) * | 1998-04-30 | 2000-07-21 | Dimso Sa | Systeme d'osteosynthese rachidienne avec bride et verrou |
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US10729469B2 (en) | 2006-01-09 | 2020-08-04 | Roger P. Jackson | Flexible spinal stabilization assembly with spacer having off-axis core member |
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US10258382B2 (en) | 2007-01-18 | 2019-04-16 | Roger P. Jackson | Rod-cord dynamic connection assemblies with slidable bone anchor attachment members along the cord |
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DE50307962D1 (de) | 2002-05-21 | 2007-09-27 | Peter Metz-Stavenhagen | Verankerungselement zur befestigung eines stabes an einem wirbelknochen |
DE20207852U1 (de) | 2002-05-21 | 2002-10-10 | Metz-Stavenhagen, Peter, Dr.med., 34537 Bad Wildungen | Verankerungselement zur Befestigung eines Stabes einer Vorrichtung zum Einrichten einer menschlichen oder tierischen Wirbelsäule an einem Wirbelkörper |
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US4887596A (en) * | 1988-03-02 | 1989-12-19 | Synthes (U.S.A.) | Open backed pedicle screw |
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DE4107480C2 (de) * | 1991-03-08 | 1994-09-22 | Heinrich Ulrich | Pedikelschraube für Implantate zur Korrektur und Stabilisierung der Wirbelsäule |
US5257993A (en) * | 1991-10-04 | 1993-11-02 | Acromed Corporation | Top-entry rod retainer |
DE69433671D1 (de) * | 1993-11-19 | 2004-05-06 | Cross Med Prod Inc | Befestigungsstangensitz mit schiebeverschluss |
-
1994
- 1994-02-22 DE DE9402839U patent/DE9402839U1/de not_active Expired - Lifetime
-
1995
- 1995-01-24 DE DE69514019T patent/DE69514019T2/de not_active Expired - Lifetime
- 1995-01-24 EP EP95100878A patent/EP0672388B1/de not_active Expired - Lifetime
- 1995-01-24 AT AT95100878T patent/ATE187879T1/de active
- 1995-02-22 US US08/391,862 patent/US5683390A/en not_active Expired - Lifetime
Cited By (1)
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---|---|---|---|---|
US8636783B2 (en) | 2006-12-29 | 2014-01-28 | Zimmer Spine, Inc. | Spinal stabilization systems and methods |
Also Published As
Publication number | Publication date |
---|---|
DE69514019D1 (de) | 2000-01-27 |
DE9402839U1 (de) | 1994-04-14 |
EP0672388A1 (de) | 1995-09-20 |
ATE187879T1 (de) | 2000-01-15 |
DE69514019T2 (de) | 2000-04-20 |
US5683390A (en) | 1997-11-04 |
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